RAFAEL ORTIZ Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED BOXER

License Number

002164686-0003

License Status

NOT RENEWED

Business

First Name

RAFAEL

Last Name

ORTIZ

Business Name

RAFAEL ORTIZ

Original Issue Date

01/10/2006

Effective Date

01/10/2006

Expiration Date

10/01/2007

City

LOS ANGELES

State

Zip

90036

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/08/2007